Information Collection

Survey of Sexual Victimization 2016-2018

IC 225937 under ICR 201703-1121-001 · OMB 1121-0292.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0292 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSV-1 Survey of Sexual Victimization 2016-2018	Form and Instruction
SSV-1 Survey of Sexual Victimization Federal Form SSV-1.pdf	Form and Instruction
SSV-2 Survey of Sexual Victimization State Prison System Summa SSV-2.pdf	Form and Instruction
SSV-3 Survey of Sexual Victimization Local Jail Summary Form SSV-3.pdf	Form and Instruction
SSV-4 Survey of Sexual Victimization Other Correctional Facili SSV-4.pdf	Form and Instruction
SSV-5 Survey of Sexual Victimization State Juvenile Systems Su SSV-5.pdf	Form and Instruction
SSV-6 Survey of Sexual Victimization Locally or Privately Owne SSV-6.pdf	Form and Instruction
SSV-IA Survey of Sexual Victimization Substantiated Incident Fo SSV-ia.pdf	Form and Instruction
SSV-IJ Survey of Sexual Victimization Substantiated Incident Fo SSV-ij.pdf	Form and Instruction
Attachments.pdf SSV 2016-2018 Attachments with Table of Contents	IC Document

IC Title:

Survey of Sexual Victimization 2016-2018

Agency IC Tracking Number:

BJS

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSV-1	Survey of Sexual Victimization Federal Form	SSV-1.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SSV-2	Survey of Sexual Victimization State Prison System Summary Form	SSV-2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SSV-3	Survey of Sexual Victimization Local Jail Summary Form	SSV-3.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SSV-4	Survey of Sexual Victimization Other Correctional Facilities Summary Form	SSV-4.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SSV-5	Survey of Sexual Victimization State Juvenile Systems Summary Form	SSV-5.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SSV-6	Survey of Sexual Victimization Locally or Privately Owned Juvenile Summary Form	SSV-6.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SSV-IA	Survey of Sexual Victimization Substantiated Incident Form (Adult)	SSV-ia.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SSV-IJ	Survey of Sexual Victimization Substantiated Incident Form (Juvenile)	SSV-ij.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,574

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 51 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,574	1,574
Annual IC Time Burden (Hours)	1,993	1,993
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSV 2016-2018 Attachments with Table of Contents	Attachments.pdf	03/03/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.